Ryu Kyungsoon, Lee Misoon, Kim Younghae, Ban Seonhwa, Choi Mihyang
College of Nursing, Pusan National University, Yangsan, Korea.
Department of Nursing, Changshin University, Changwon, Korea.
J Korean Acad Nurs. 2018 Jun;48(3):255-265. doi: 10.4040/jkan.2018.48.3.255.
The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills.
Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents.
The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection.
The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.
本研究旨在通过对提前提供紧急避孕药的干预性研究进行荟萃分析，来分析紧急避孕药对青少年性行为和避孕行为的影响。本研究旨在提供关于普通药物转变的客观数据，以便在紧急避孕药重新分类时进行讨论。
利用电子数据库，对1820篇不限年份的韩语或英语研究进行了综述，并选取了5项针对青少年提供紧急避孕药的研究进行分析。
提前提供紧急避孕药增加了其使用频率，并缩短了无保护性行为后服用避孕药的时间。性行为和无保护性行为的频率或现有避孕行为没有变化，怀孕率下降，但性传播感染没有增加。
本研究结果为紧急避孕药的重新分类提供了客观依据，并提出了有效的避孕教育干预方案，如在从事性活动的青少年中开展关于避孕药的功效、副作用及其正确使用的教育，以改善他们的生殖健康。
